Editorial
Volume 3 Issue 12
Importance of Preserving Deciduous Teeth in Childhood
Karimi M
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This question is in the minds of most parents in the community,
why should they care for primary teeth while the longevity of these
teeth is short and do not last for more than six to seven years? But
the reality is other than that. These teeth are very important for
many reasons, and the care and maintenance of them are also very
essential.
Research Article
Volume 3 Issue 12
Management of Anti-Platelet Agents in Patients Undergoing an Oral Surgery
Maria Luisa Martinez-Garcia and Samuele Curci
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In oral surgery, bleeding associated with antiplatelet agents is a frightening situation to deal with, from a simple extraction to
more complicated surgeries such as implant, periodontal or orthognathic surgeries. For this reason, each dentist needs to balance
the risk of interrupting or not the antiplatelet agent. Systemic complications associated with the interruption of the drug outweigh
the haemorrhagic complication associated with continuation of the same. Moreover, oral surgeries are considered at low risk of
haemorrhage and hemostatic measure are in most of the cases enough to prevent excessive bleeding or platelet transfusion. In these
situations, clinicians are in front of a question: Is bleeding worse than dying? Meaning that on one side, bleeding associated with
continuation of antiplatelet agent, on the other side the remote but significant chance of lethal cardiovascular event. The decision
should be obvious: stopping antiplatelet agent monotherapy or dual antiplatelet therapy is not anymore acceptable. Furthermore,
special attention should be given to all those patients on dual antiplatelet therapy or combined anticoagulant/antiplatelet therapy
because the risk of bleeding will be always higher compared to antiplatelet monotherapy and the anti-haemorrhagic measures
such as gauze compression, collagen sponge, topical thrombin and sutures, are even more indispensable. From this point for a
correct management of these drugs and in order to provide the best treatment to the patient, clinical history knowing the risk of
thromboembolic event, additional antiplatelet tests, consultation with the cardiologist would be necessary and a teaching session
and recommendations for the patient to explain how to manage at home post-operative bleeding is essential.
Keywords:Anti-Platelets Agents; Oral Surgery; Hemostatic Measures; Thrombosis; Oral Hemorrhages
Research Article
Volume 3 Issue 12
Guided Bone Regeneration Versus Connective Tissue Graft to Increase
Volume in the Aesthetic Sector
Canis Bueno M
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Objectives:Compare the volumetric changes and its long - term stability generated by guided bone regeneration techniques versus
connective tissue grafts in the second phase of integrated implants, as well as to compare the aesthetic results obtained with them.
Materials and Methods:A bibliographic review is carried out in relation to articles published in the last 10 years in various
languages, including several not included in this range given their interest, being grouped according to year and similarity.
Results:The data show volume gain in the aesthetic sector with both procedures: guided bone regeneration and connective tissue
grafting; obtaining a percentage of unit recession over implants and volume increase of up to 89,6 % by the second procedure [14].
In terms of dimensional stability with one-year results, vestibular volume was stable, not showing statistically significant results
between both procedures, although in terms of contraction it is less for the connective tissue graft [11].
Conclusion:Within the limitations of the present review, it can be concluded that volume increase is possible with both procedures,
being two highly predictable procedures with one-year results, obtaining stable values.
More long-term studies are needed to continue assessing this dimensional stability over time [11].
Satisfactory aesthetic results are produced with both techniques because they are related, although ITC is considered the gold
standard for soft tissue augmentation in a second surgical phase, obtaining more satisfactory values [1,5-7].
Keywords:Guided Bone Regeneration; Connective Tissue Graft; Aesthetic Sector
Research Article
Volume 3 Issue 12
Prevalence of the Presence of Third Molar at the Patients Received in the
Orthodontic Service of Tizi Ouzou Hospital between 2013 - 2014
S Meddah, O Atrouche and R Dahmas
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Objectives:Our objective is to analyze the presence of wisdom teeth in our population.
Materials and Methods:This is a retrospective, descriptive epidemiological study. This study concerns 310 individuals between 11
and 26 years old, received in consultation between 2013 and 2014.
Discussion:The vast majority of individuals have at least one third molar, 46% of them have four third molar, the rest are between
two, three, and one third molar.
Keywords:Third Molar; Agenesis; Maxillary; Mandible
Research Article
Volume 3 Issue 12
Prevalence and Treatment of Skeletal Class III at the Dento-Facial Orthopedic
Service at Blida Chu-Algeria
Meddah Souad
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Objective of the Study:Skeletal class III is an orthopedic abnormality characterizing by maxillary development in children. The main
objective of our study is to assess the number of children affected by skeletal class III and to identify the risk factors.
Materials and Methods:Our study population consisted of 382 young patients in 2015/2016, this population represents the total
number of child consultants in 2015/2016 in the dentofacial orthopedics department.
We also selected a population of 1,365 young patients in 2017/2018.
Results:1)The prevalence of the presence of skeletal class III between 2015/2016 is 8.37%.
2) The prevalence of the presence of skeletal class III between 2017/2018 is 5.56%.
Discussion:The prevalence of skeletal class III in our clinic between 2015/2016 was 8.37%, while in 2017 it was 5.56% despite
the fact that the population retained in 2017 was larger. This inconsistency is most likely related to the extent of the field taken in
2017, which results in a reduced percentage of unhealthy cases. Among other things, the prevalence of skeletal class III experienced
a quantifiable decrease between 2015 and 2017.
Keywords:Skeletal Class III; Young Subjects; Early Treatment
Research Article
Volume 3 Issue 12
Obstructive Sleep Apnea Syndrome OSAHS of Children: Screening at the Dental
Clinic of the Blida University Hospital Center-Algeria
Meddah Souad
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Introduction:The orthodontist is in a strategic position to screen for obstructive sleep apnea syndrome (OSAHS), and the use of
a questionnaire is recommended to better understand the presence of signs and symptoms suggestive (snoring, awakenings and
breathing pauses, daytime sleepiness). The PSQ-SRBD was the most accurate and reliable questionnaire used by dental surgeons.
Materials and Methods:We conducted a descriptive cross-sectional study on a representative sample of the pediatric population
of Blida (310 children) who attended the Ahmed ZABANA dental clinic. Our study spanned six weeks from January 2019 to February
2019. We used CHERVIN's PSQ-SRBD. The SRBD scale is a questionnaire administered to parents of children aged 2 to 18. It is made
up of 22 items that investigate the frequency and severity of snoring during sleep, the presence of apnea during sleep, daytime
sleepiness, disturbance in attention, hyperactivity and other symptoms related to SAHOS.
Results:The PSQ-SRBD score reveals that 21% of the children surveyed are suspected of having OSAHS. In our sample, the suspected
OSAHS is concentrated in children between 6 and 13 years old. More than (90% of children) suspected of OSAHS have the following
characteristics: mouth breathing, daytime sleepiness and disturbed attention and hyperactivity. Snoring is represented at 71% and
breathing difficulties at 88%.
Discussion:The prevalence of skeletal class III in our clinic between 2015/2016 was 8.37%, while in 2017 it was 5.56% despite
the fact that the population retained in 2017 was larger. This inconsistency is most likely related to the extent of the field taken in
2017, which results in a reduced percentage of unhealthy cases. Among other things, the prevalence of skeletal class III experienced
a quantifiable decrease between 2015 and 2017.
Conclusion:OSAHS in children is multifactorial in origin, but the most common cause is enlarged tonsils and adenoids. The OSAHS
treatment of choice in children is based on adeno-tonsillectomy surgery, which can be treated effectively. It will have the effects of
lowering respiratory resistance, harmonizing facial growth and improving behavioral and cognitive disorders.
Keywords:Obstructive Sleep Apnea Syndrome (OSAHS); Dental Clinic; Blida University Hospital Center
Case Report
Volume 3 Issue 12
Use of Polypropylene Membrane to Accelerate Bone Maturation after Cystic Exeresis
Lindyana Nascimento Santos, Elizabete Tardiola Najar, Jones Salustiano de Cerqueira, Munir Salomão, Mércio
Mitsuo Kuramochi, João Marcelo Ferreira de Medeiros, Caleb Shitsuka and Irineu Gregnanin Pedron
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Bone cysts are lesions frequently seen in the stomatological and dental clinics. The main technique used in their treatment is
surgical excision, with enucleation of the lesion. Generally, the bone defect generated can become large, depending on the size of the
cystic lesion. Bone repair, in these cases, is slow, and may offer post-surgical risks and complications, such as pathological fractures,
risk of recurrence and loss of function due to difficulty in rehabilitation. Regenerative techniques can favor bone repair and accelerate
the healing process. The purpose of this article is to present the case of cystic exeresis in a patient by the technique of enucleation
of the lesion, followed by the use of polypropylene membrane. The membrane was adapted and maintained on the bone defect,
remaining for 10 days. The permanence of the membrane for this period was sufficient to maintain the blood clot, considered a
biological basis for bone formation and maturation, repairing in a short period of time. The use of polypropylene membrane is a
simple, efficient and affordable technique, that can be used in cases of surgical excision of cystic lesions, presenting satisfactory
results and accelerated bone repair.
Keywords:Radicular Cyst; Wound Healing; Bone Regeneration; Oral Surgery
Case Report
Volume 3 Issue 12
Sclerotherapy with Monoethanolamine Oleate of Lower Lip Hemangioma
Gabriela Barbosa de Moraes, Estevam Rubens Utumi, Caleb Shitsuka, Leopoldo Penteado Nucci da Silva and
Irineu Gregnanin Pedron
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Hemangioma is a benign tumor characterized by abnormal proliferation of blood vessels. In the oral cavity, it most commonly
affects the region of the lips, tongue and jugal mucosa. Among the therapeutic options, sclerotherapy has been used with satisfactory
aesthetic and clinical results. The purpose of this article is to present the case of lower lip hemangioma in a patient, treated by means
of monoethanolamine oleate sclerosing solution injections with total remission of the lesion. In this case, it was possible to safely
promote the involution of the lesion through a non-surgical procedure.
Keywords:Hemangioma; Sclerotherapy; Oral Cavity; Lip
